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Since your last visit, have you experienced any of the following:
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Headache?
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Weight loss?
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Stomach pain?
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Experienced other new symptoms?
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If you said you experienced other new symptoms, what were they?
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In the past 60 days, have you experienced any of the following? ...
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Fever? (past 30 days)
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Feeling of tiredness? (past 30 days)
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Muscle or joint aches? (past 30 days)
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Rash? (past 30 days)
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Sore throat? (past 30 days)
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Pain when peeing? (past 30 days)
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Discharge from penis? (past 30 days)
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Discharge coming from anus? (past 30 days)
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Sores on genitals? (past 30 days)
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It is common for people to miss doses, how many doses have you missed in the past 60 days?
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What are challenges you find in having to take Truvada every day?
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Felt there is no need
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I forget
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Difficult scheduling
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Lost medication
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No desire to take it
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Side effects
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Other reason
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If you selected "other reason," what is that other reason you've missed doses?
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In the past 60 days, I have had sex with:
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How many different sex partners have you had in the past 60 days?
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In the past 30 days, how many of your sex partners with HIV positive?
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What types of sex have you had in the past 60 days?
• • •
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How often do you use condoms if/when you have anal sex (receptive or insertive)?
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How often do you use condoms if/when you have vaginal sex?
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How often do you use condoms if/when you have oral sex?
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What questions do you have for the study physician?
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